Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.86 / $32.44 / $32.44	Facility		$29.86	$32.44	$32.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.16 / $34.33 / $41.08	Professional		$26.16	$34.33	$41.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $49.70 / $77.45	Professional		$34.61	$49.70	$77.45
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $1,701.50	Facility		$63.90	$100.00	$1,701.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $27.46 / $39.22 / $84.46	Professional		$27.46	$39.22	$84.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.01 / $41.01 / $41.01	Facility		$41.01	$41.01	$41.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $48.89 / $166.93	Professional		$28.84	$48.89	$166.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $41.43 / $70.61	Professional		$34.04	$41.43	$70.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $84.66 / $95.12 / $190.52	Facility		$84.66	$95.12	$190.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $264.95 / $272.48 / $307.35	Professional		$264.95	$272.48	$307.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.28 / $44.83 / $54.22	Facility		$32.28	$44.83	$54.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.85 / $43.92 / $64.05	Professional		$29.85	$43.92	$64.05
United Facility/Professional Facility Modifier Low / Median / High Price $2,064.00 / $5,372.00 / $16,172.00	Facility		$2,064.00	$5,372.00	$16,172.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.36 / $34.33 / $71.06	Professional		$24.36	$34.33	$71.06